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The aim of is to test the effects of a model for care (case management) to older people with high healthcare consumption and functional dependency on healthcare consumption, quality of life, functional ability and experiences of care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Case Management | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Case management | Other | Nurses and a physiotherapist (PT) worked as case managers (CM). The intervention lasted 12 months and comprised 4 dimensions. The first was traditional CM tasks: assessment, planning, monitoring, care coordination and evaluation. Home visits were made at least once a month. The second and third was general and specific information related to the participants' situation. The fourth part included aspects of continuity and safety. The PT also paid home visits and made an assessment regarding physical function and balance. The intervention consisted of multidimensional prevention of falls and/or consequences of falls, and supporting and motivating the participant to increased physical activity. When those in the control group had participated for 12 months they were offered the intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Health care consumption | two years (one year before vs after baseline) | |
| Health care costs | two years (one year before vs after baseline) | |
| Feelings of loneliness | baseline and then after 3,6,9,12,24 months | |
| Depressive symptoms | baseline and then after 3,6,9,12,24 months | |
| Health Related Quality of Life | baseline and then after 3,6,9,12,24 months | |
| Number of falls | baseline and then after 3,6,9,12,24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Life Satisfaction | baseline and then after 6,12,24 months | |
| Health complaints | baseline and then after 3,6,9,12,24 months | |
| Knowledge about prescribed drugs |
| Measure | Description | Time Frame |
|---|---|---|
| Experiences of care | qualitative interviews with participants, next of kins and case managers | approximately one year |
Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ingalill Rahm Hallberg, PhD | Lund University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lund University, Faculty of Medicine, Department of Health Sciences | Lund | SE-22100 | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20409057 | Result | Kristensson J, Ekwall AK, Jakobsson U, Midlov P, Hallberg IR. Case managers for frail older people: a randomised controlled pilot study. Scand J Caring Sci. 2010 Dec;24(4):755-63. doi: 10.1111/j.1471-6712.2010.00773.x. |
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| ID | Term |
|---|---|
| D019090 | Case Management |
| ID | Term |
|---|---|
| D010347 | Patient Care Planning |
| D003191 | Comprehensive Health Care |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |
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|
| baseline and then after 3,6,9,12,24 months |
| Attitudes towards prescribed drugs | baseline and then after 3,6,9,12,24 months |
| Drug use | baseline and then after 3,6,9,12,24 months |
| Activities and social participation | baseline and then after 3,6,9,12,24 months |
| Functional capacity | baseline and then after 3,6,9,12,24 months |
| Balance | baseline and then after 3,6,9,12,24 months |
| Timed up and go (TUG) | baseline and then after 3,6,9,12,24 months |
| Risk of falling | baseline and then after 3,6,9,12,24 months |
| Fear of Falling | baseline and then after 3,6,9,12,24 months |